Download - EME Alumni AssociationScholarship Form 2011
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8/7/2019 EME Alumni AssociationScholarship Form 2011
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1 of7 EME Alumni Association | Scholarship Program | 2011
2011
ID No.: ___________
Applicants Name: ________________________ DE/Dept: ______________
Case reviewed by (for office use):
Please paste
your
photograph
here
y Financial assistance will be awarded primarily on needs basis. The Financial Assistance Committee wouldassess the need and merit as well as the availability of funds in order to finalize the amount of aid.
y The Financial Assistance Committee takes decisions on the basis of information provided in this form and
its own investigations. However, in some cases, candidates may be required to appear for an interview to
provide additional information.
y The committee determines the extent of assistance to be given, if any, and will pay the amount in the form
of cheque AT ONE TIME.
y PROVISION OFFALSE INFORMATION BY THE APPLICANT MAY LEAD TO CANCELLATION OF EME ALUMNI
ASSOCIATION MEMBERSHIP.
y Incomplete forms will NOT be entertained.
The Applicant MUST attach the following documents with this form to be considered for financial assistance.
y Recent Salary Certificates (photocopies) of earning family members (parents, guardians, brothers & sisters)
y Photocopy of transcript (Progress report)
y Photocopies of parents residence utility bills (Electricity, Telephone, Gas etc) [last 6 months]
y Written proofs for all expenditure mentioned in PART C of this form.
y Details of personal and family assets.
y Statement by the applicant (why I deserve to get this financial assistance from EME Alumni Association)
as mentioned in PART F of this form.
General Information for the Applicant
Attachments Required With This Form
For Office Use
Form received by: __________________ Signature: ____________________ Date:__________
EME Alumni Association | [email protected] | www.emealumni.com
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2 of7 EME Alumni Association | Scholarship Program | 2011
PART - A
[Personal Information]
1. Applicant's Name: _________________________________________________________
2. Rank: ____________ 3. Registration No (NUST): _________________________________
4. DE and Dept: _____________ 5. CGPA: ________ 6. Semester GPA (last):____________
7. GPA History (All semesters) : __________________________________________________
8. Present Mailing Address: ______________________________________________________
____________________________________________________________________________
9. Permanent Mailing Address: ___________________________________________________
____________________________________________________________________________
10. Telephone Numbers: _________________________________________________________
11. Email Address: ____________________________________________________________
[Family Information]
11. Fathers Name: ______________________________________
12. Guardians Name (if any): ______________________________
13. Telephone Numbers: __________________________________
14. Mothers Name: ______________________________________
15. Telephone Numbers: __________________________________
16. Siblings:
Name Age Occupation Income Institution Fee(Per month) (If studying) (Per month)
_______________ ____ ___________ _________ _______________ ______
_______________ ____ ___________ _________ _______________ ______
_______________ ____ ___________ _________ _______________ ______
_______________ ____ ___________ _________ _______________ ______
_______________ ____ ___________ _________ _______________ ______
_______________ ____ ___________ _________ _______________ ______
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3 of7 EME Alumni Association | Scholarship Program | 2011
PART - B
[Personal and Family Sources ofIncome]
1. Fathers Occupation: ______________________
2. Fathers Monthly Income (Please provide complete details):
2.1 G Total : ______________
3. Mothers Occupation: ______________________
4. Mothers Monthly Income (Please provide complete details):
4.1 G Total : ______________
5. Amount of Monthly Stipend Received (from all sources)
5.1 G Total : ______________
6. Are you receiving or likely to receive ANY other Scholarships (Please give details):
6.1 G Total : ______________
7. Any other source of Income/Financial Assistance (Please provide complete details):
7.1 G Total : ______________
8. Have you ever applied for EMEAA scholarship before? Please specify date and result.
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4 of7 EME Alumni Association | Scholarship Program | 2011
PART - C
[Expenditure]
1. Please provide details of all the expenses (monthly basis) that are related to your studies at College of
E&ME, Please include detailed denomination of your living expenses as well (Tuition, hostel bills, etc).
1.1 G Total: ________________
FOR OFFICIAL USE ONLY. PLEASE DO NOT WRITE BELOW THIS SPACE
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5 of7 EME Alumni Association | Scholarship Program | 2011
PART - D
[Feedback from College Administration]
1. Please provide feedback from the Administration of College of E&ME which may be from your
Department HOD, DEAN or any INSTRUCTOR who knows you well.
Name ____________________
Designation: _______________
Signature: _________________
Contact: __________________
(STAMP)
FOR OFFICIAL USE ONLY. PLEASE DO NOT WRITE BELOW THIS SPACE
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6 of7 EME Alumni Association | Scholarship Program | 2011
PART - E
[Other Information]
1. Details of Car(s) owned/used (personal & official) by self and family (with make and model):
_________________________________________________________________________
_________________________________________________________________________
2. House owned by family
YES NO
3. If living in rented house, what is the rent per month? : _______________________________
4. If owned, location and area of plot : ______________________________________________
5. Other moveable/immoveable property owned by family (give details):
6. Any physical disability : __________________________________________________________
7. Anything else you would like to mention :
FOR OFFICIAL USE ONLY. PLEASE DO NOT WRITE BELOW THIS SPACE
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7 of7 EME Alumni Association | Scholarship Program | 2011
PART - F
[Applicants Statement and Undertaking]
The Applicant MUST submit a detailed statement (on a separate sheet) describing the reasons as to
Why I deserve to get this financial assistance from EME Alumni Association? Please use separate sheet
and try to restrict your statement to less than 200 words.
UNDERTAKING
I honestly declare and certify that the information given on this form is accurate and correct to the best
of my knowledge. I have presented all the information in good faith and I understand that any
misrepresentation may cause cancellation of my membership and financial aid.
Applicants Name : ________________________ Applicants Signature: ____________________
Parent/Guardians Name: ___________________ Parent/Guardians Sign: ____________________
Date : ________________
FOR OFFICIAL USE ONLY. PLEASE DO NOT WRITE BELOW THIS SPACE
Financial Aid: APPROVED / NOT APPROVED
Remarks by EME AA Committee:
Decision Taken By:
Name / Sign / Date Name / Sign / Date Name / Sign / Date
_________________ ___________________ __________________